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Considerations for Academic Medical Centers Moving AHEAD.
JAMA Health Forum
November 2024
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
The Effect of Insurance Type on Length of Stay Following Total Knee Arthroplasty.
J Arthroplasty
January 2025
Rubin Institute for Advanced Orthopedics, Lifebridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland.
Background: With the expansion of the Affordable Care Act in 2014, there has been a growing interest in how the Medicaid population will affect postoperative outcomes following total knee arthroplasty (TKA). Studies have shown that lower socioeconomic status, non-Caucasian race, women, cardiac and renal disorders, and younger age have been associated with increased lengths of stay (LOS) after TKA. The primary purpose of our study was to compare the total complications and LOS among patients undergoing TKA who have cash, commercial, government, Medicaid, and Medicare insurances.
View Article and Find Full Text PDF10-Year Cumulative Incidence and Indications for Revision Total Joint Arthroplasty for Patients Who Have Ehlers-Danlos Syndrome.
J Arthroplasty
December 2024
Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Background: Long-term complications following total joint arthroplasty are not well established for patients who have Ehlers-Danlos syndrome (EDS), a group of connective tissue disorders. This study compared 10-year incidence of revision surgery after total hip arthroplasty (THA) and total knee arthroplasty (TKA) in patients who have and do not have EDS.
Methods: A retrospective cohort analysis was conducted using a national all-payer claims database from 2010 to 2021 to identify patients who underwent primary TKA or THA.
Clinician-to-clinician connectedness and access to gastric cancer surgery at National Cancer Institute-designated cancer centers.
J Gastrointest Surg
September 2024
Department of Surgery, Creighton University School of Medicine and CHI Health, Omaha, NE, United States. Electronic address:
Background: For patients with gastric cancer, the pathway from primary care (PC) clinician to gastroenterologist to cancer specialist (medical oncologist or surgeons) is referral dependent. The impact of clinician connectedness on disparities in quality gastric cancer care, such as at National Cancer Institute-designated cancer centers (NCI-CC), remains underexplored. This study evaluated how clinician connectedness influences access to gastrectomy at NCI-CC.
View Article and Find Full Text PDFCorticosteroid Injections Within 2 Weeks After Knee Arthroscopy Are Associated With Increased Infection Risk.
Arthroscopy
June 2024
Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland, U.S.A.. Electronic address:
Purpose: Our purpose was to quantify the risk of 90-day postoperative infection after arthroscopy, stratified by specific time intervals of corticosteroid injections (CSIs) postoperatively (0-2 weeks, 2-4 weeks, 4-6 weeks, and 6-8 weeks), using a large, all-payer database.
Methods: A national, all-payer database was queried. In the primary and secondary analyses, the main outcome was infection at 90 days.
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